- City National Bank of Florida (Miami, FL)
- …Reserve, and CFPB regulations. Creates, maintains, and administers a comprehensive Compliance Management System ( CMS ), including the establishment of ... implementing, coordinating and administering the bank's overall (non BSA/AML/OFAC) Compliance Management System which includes the Compliance Risk Management… more
- Highmark Health (Boston, MA)
- …subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and ... to healthcare (payer and provider) business processes. + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing… more
- Blue Foundry Bank (Parsippany-Troy Hills, NJ)
- …to ensure adherence to federal and state regulatory requirements through the effective management of the Compliance Management System ( CMS ). This ... with internal departments to interpret and apply regulations, assisting in policy and procedure development, supporting regulatory examinations, monitoring … more
- University of Washington (Seattle, WA)
- …dispute resolution, etc.). The Senior Analyst must maintain awareness of changes in regulatory policy , government policy and University policy to ... * Maintain current and accurate agreement files of record. * Other duties as assigned. ** Regulatory and Government Policy (10%)** * Stay abreast of the changing … more
- Highmark Health (Pittsburgh, PA)
- …to healthcare (payer and provider) business processes. + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing ... a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS , JCAHO, etc. The incumbent will partner with the organizational risk and business… more
- Highmark Health (Pittsburgh, PA)
- …to healthcare (payer and provider) business processes. + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing ... a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS , JCAHO, etc. The incumbent will partner with the organizational risk and business… more
- Panasonic North America (De Soto, KS)
- …and regulatory standards + Maintain and update claim files in the Claims Management System ( CMS ) with documentation, notes, and supporting evidence + ... a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply now! Put… more
- UNC Health Care (Morrisville, NC)
- …- Maintains current knowledge of CPT and ICD coding guidelines as well as CMS policy and regulations. Reads trade journals articles related to coding and ... unique communities we serve. **Summary:** Responsible for assisting Compliance management in compliance activities which could include reviewing internal processes,… more
- Avera (Sioux Falls, SD)
- …order to identify and implement prevention opportunities. Furthermore, the Denial Prevention Analyst works accounts in Denial Management desktop to provide ... achieve a double 5-star rating from the Centers for Medicare and Medicaid ( CMS ). Be apart of something great! **Position Highlights** **Position Summary** The Denial… more
- Insight Global (Burbank, CA)
- …service representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and answers calls from the ... for this position in the areas of: efficiency, accuracy, quality, productivity, system adherence, customer satisfaction and attendance - Elevate and enhance the… more
- City of New York (New York, NY)
- …via accreditation and regulatory bodies (ie, NYS health department, JACHO, CMS ). Conduct literature and policy reviews to support MHQIN programming and ... Microsoft Office, including Word, Excel, PowerPoint, and Access; Project management tools; excellent analytical, interpersonal, written, and oral communication… more
- CenterWell (Blue Springs, MO)
- …in Overland Park, KS.** The role of a **Licensing and Certification Analyst /Specialist** will include: + Preparation and submission of required license applications ... governmental and third party agencies, including State Departments of Health, CMS /Medicare, Medicaid, and local governmental agencies and entities. + Conducting… more
- Newtown Savings Bank (Newtown, CT)
- …guidance and support to the Senior Business Analyst on all Enterprise Content Management System (ECM) and Microsoft SharePoint responsibilities. POSITION ... the IT Manager, the administrator supervises the Senior Business Analyst , IT Security Specialist, Senior System Support ... Content Management : Provides… more
- CenterWell (Albany, NY)
- …and Medicare payment model programs via the Center for Medicare and Medicaid Services ( CMS ), such as ACO REACH, MSSP, and future models. Under general direction and ... Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will… more
- LA Care Health Plan (Los Angeles, CA)
- …Regulatory compliance: Works closely with Customer Solution Center Management to determine and handle effectiveness/accuracy of operational processes. ... and monitoring of the guidelines and protocols to ensure readiness for all regulatory audits. This position will develop, with the assistance of CSC management… more
- Wells Fargo (Charlotte, NC)
- …lines of business within a Commercial Mortgage Servicing space. + Commercial Asset Management and/or Credit Analyst experience. + Cash Management experience. ... **CIB Lending Operations Group** . This role will support **Commercial Mortgage Servicing** ( CMS ) roles across the platform. This role will also assist with training… more
- Banner Health (AL)
- …as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
- American Express (Sandy, UT)
- …approvers by conducting system demonstrations and troubleshooting within the Contract Management System ( CMS ) and DocuSign. + Develop and maintain ... supporting documents and contract metadata are properly entered into the Contract Management System , including agreement performance metrics where applicable. +… more
- Banner Health (KY)
- …appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and nationally recognized coding guidelines. CORE FUNCTIONS 1. ... coding by ensuring compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS… more
- Corewell Health (Grand Rapids, MI)
- …programs that ensures performance metrics are achieved in compliance with CMS /HHS regulations. + Internal stakeholder management : ensures open communication ... work for this position may be approved based on policy and business considerations. Some states are not eligible...of the risk adjustment department through leading all data management , analysis and reporting. This role will manage and… more
